主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (3): 394-400.doi: 10.3969/j.issn.1672-1756.2019.03.014

• 论 著 • 上一篇    下一篇

急危重症患者标准化院内分级转运体系的实施与效果

刘晓颖 高健 史冬雷   

  1. 北京协和医院急诊科,100730 北京市(刘晓颖,高健);护理部(史冬雷)
  • 出版日期:2019-03-15 发布日期:2019-03-15
  • 通讯作者: 史冬雷,本科,主任护师,E-mail:shidonglei3706@sina.com
  • 作者简介:刘晓颖,硕士,主管护师

Implementation and effect of a standardized classification and transportation system for critically ill patients in hospital

LIU Xiaoying, GAO Jian, SHI Donglei   

  1. The Emergency Department of Peking Union Medical College Hospital, Beijing, 100730, China
  • Online:2019-03-15 Published:2019-03-15
  • Contact: SHI Donglei,E-mail:shidonglei3706@sina.com

摘要: 目的:在急危重症患者中实施标准化院内分级转运体系,以改善医疗服务质量。方法:规范化实施急危重症患者院内分级转运标准和流程,并将急危重症患者分级转运评估表应用于转运中;同时,建立健全质量控制制度与标准,进行持续质量改进,并在全国范围内开展教育培训以实现分级转运标准和流程的专业化、统一化。结果:急危重症患者院内分级转运体系实施后,Ⅰ级、Ⅱ级、Ⅲ级转运平均耗时均缩短,转运不良事件发生率由7.49%降低至1.40%,患者家属和接收科室满意度提升,差异均具有统计学意义(P<0.05)。结论:急危重症患者院内分级转运体系的实施降低了转运风险,保障了患者安全,改善了医疗护理服务质量,充分诠释了优质护理服务工作的内涵。

关键词: 急危重症;院内分级转运

Abstract: Objective: To apply a standardized classification and transportation system to critically ill patients in hospital to improve the quality of medical services. Methods: Criteria and procedures of the classification and transportation system for critically ill patients in hospital were established and standardized, and the Transportation Assessment Form for Critical Patients was used through the transportation process. Meanwhile, a sound and complete quality control system and standards were formulated to make room for continuous improvement. Besides, education and training were offered all around the country to ensure that effective transportation could be carried out both professionally and normally. Results: After the implementation of the classification and transportation system for critically ill patients in hospital, the average time spent on Class I, II, and III transportation was significantly reduced, and the incidence of adverse events observed during patient transportation decreased from 7.49% to 1.40%. The satisfaction degree of both family members and receiving departments was significantly improved (P<0.05). Conclusion: The classification and transportation system for critically ill patients in hospital has reduced the risk of transportation, ensured patients' safety, and fully demonstrated the meaning and continuous improvement of nursing service.

Key words: critical illness; classification and transportation of patients in hospital

中图分类号: 

  • R47